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Organization

TWIN STATE PSYCHOLOGICAL SERVICES

Active
Other names
Richard W. Root II dba Twin State Psychological Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD W. ROOT II ED.D. (OWNER)
(802) 885-5719
Entity
Organization

Contact information

Practice address
29 RIDGEWOOD RD, SPRINGFIELD, VT 05156-3060
(802) 885-5719
(802) 885-5720
Mailing address
PO BOX 2003, SPRINGFIELD, VT 05156-2003
(802) 885-5719
(802) 885-5720

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1016751
VT
05
3080088
NH
Enumeration date
06/24/2009
Last updated
09/13/2016
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